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Request Blood
Your request through SMS will go to
1 : 10
donor of selected Blood group and Area.
If you have not recieved any response from Blood donors , kindly re-submit the request again after 15 minutes.
Full Name
Information you provide will remain confidential and will not be used for any marketing purpose.
Access to this information is limited to staff with a genuine and essential need to have such access and will not be available to offenders or other persons.
Requested Blood Group
A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
Requested Blood Unit
Contact Details
Mobile Number
Area
--Select--
Mannagudda
Kankanadi
Kapikad
Lalbhag
Bejai
jyothi
Nanthoor
Kadri
Adyar
Any
Urwa
surathkal
PVS
Statebank
Thokkotu
padil
kodikal
Mangaladevi
KASARAGOD
Pumpwell
Hospital Name
I hereby declare that the particulars furnished above are true and correct, and I am willing to Donate Blood on request.